Correlation Between KL Gradings of OA Knee, Kinesiophobia and Pain Among School Teachers: A Cross-Sectional Study

Vakil Drashtant Ketanbhai, Jariwala Kunj, Solanki Nilesh
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Abstract

Background: Osteoarthritis also known as degenerative arthritis or degenerative joint disease, is a group of mechanical abnormalities involving degradation of joints, including articular cartilage and subchondral bone. OA is the most common form of arthritis. There are two form of OA, Primary and Secondary OA. Kinesiophobia is a condition in which a patient has an excessive, irritational, and debilitating fear of physical movement and activity resulting from a feeling of vulnerability to painful injury or re injury. The influence of biological (exa-gray changes) as well as severity of pain, Kinesiophobia in individual physical functioning. There are less evidences showing the association of kinesiophobia and pain among school teachers with OA knee. So, this study was designed to find out the association of kinesiophobia and pain among school teachers with OA knee. Methodology: A cross-sectional observational study was conducted. 100 school teachers with unilateral or bilateral OA knee were selected who matched the selection criteria. Both male and female were included. For gradings of OA knee KL grade was taken, for kinesiophobia TAMPA scale was taken, for pain NPRS was taken as an outcome measures. Result: Spearman co-efficient between KL grade and TAMPA scale is 0.835, which indicates there is moderate to high positive correlation between KL grade and TAMPA scale. Spearman co-efficient between NPRS and TAMPA scale is 0.923, which indicates there is high positive (strong positive) correlation between NPRS and TAMPA scale. Spearman co-efficient between NPRS and KL grade is 0.784 which indicates there is moderate positive correlation between NPRS and KL grade. Conclusion: This study concludes that there is positive correlation between gradings of OA knee and kinesiophobia among teachers with OA knee. There is moderate positive correlation between gradings of OA and pain among teachers with OA knee. There is very high positive (Strong positive) correlation between kinesiophobia and pain among teachers with OA knee. Keywords: KL Gradings of OA Knee, OA knee, kinesiophobia, osteoarthritis
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学校教师膝关节 OA KL 分级、运动恐惧症与疼痛之间的相关性:一项横断面研究
背景:骨关节炎又称退行性关节炎或退行性关节病,是一组涉及关节退化(包括关节软骨和软骨下骨)的机械性异常。OA 是最常见的关节炎。OA 有两种形式,即原发性和继发性 OA。运动恐惧(Kinesiophobia)是指患者对身体运动和活动产生过度的、刺激性的和使人衰弱的恐惧,这种恐惧是由于感觉容易受到疼痛伤害或再次伤害而产生的。生理(外灰色变化)以及疼痛的严重程度、运动恐惧对个人身体机能的影响。在患有膝关节 OA 的学校教师中,很少有证据表明运动恐惧与疼痛有关联。因此,本研究旨在找出患有膝关节 OA 的学校教师中运动恐惧与疼痛之间的关联:方法:本研究采用横断面观察法。研究选择了 100 名符合选择标准的单侧或双侧膝关节 OA 的学校教师。研究对象包括男性和女性。对膝关节 OA 的分级采用 KL 分级,运动恐惧采用 TAMPA 量表,疼痛采用 NPRS 作为结果测量指标:KL分级与TAMPA量表之间的斯皮尔曼系数为0.835,表明KL分级与TAMPA量表之间存在中度到高度的正相关。NPRS 与 TAMPA 量表之间的 Spearman 系数为 0.923,表明 NPRS 与 TAMPA 量表之间存在高度正相关(强正相关)。NPRS 与 KL 等级之间的斯皮尔曼系数为 0.784,表明 NPRS 与 KL 等级之间存在中度正相关:本研究得出结论,膝关节 OA 等级与膝关节 OA 教师运动恐惧之间存在正相关。膝关节 OA 分级与膝关节 OA 教师的疼痛呈中度正相关。膝关节OA教师的运动恐惧与疼痛之间存在很高的正相关(强正相关):膝关节 OA 的 KL 分级 膝关节 OA 运动恐惧 骨关节炎
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